鲍铁周运用平脊疗法治疗神经根型颈椎病经验介绍

Experience of BAO Tiezhou in Treating Cervical Spondylotic Radiculopathy by Spine-Balancing Therapy

介绍鲍铁周教授运用平脊疗法治疗神经根型颈椎病的临床经验。鲍铁周教授将神经根型颈椎病的病机概括为平衡失调,包括脊柱筋骨结构失衡和局部气血功能失衡。治疗上重视整体观念,主张运用平脊疗法,包括大重量偏位牵引法、平乐正骨辨证分型药物治疗、脊柱整体调衡手法、功能锻炼的综合治疗。急性期以大重量偏位牵引法、平乐正骨特色辨证分型施治、脊柱整体手法,改善颈椎构架,解除对神经的压迫刺激,恢复局部结构的稳定;治疗后期佩戴颈围并坚持进行个性化功能锻炼,以恢复脊柱筋骨结构平衡和局部气血功能平衡。

This paper introduces the clinical experience of Professor BAO Tiezhou in treating cervical spondylotic radiculopathy by spine-balancing therapy.Professor BAO Tiezhou summarized the pathogenesis of cervical spondylotic radiculopathy as balance disorder,including the imbalance of spinal sinew and bone structure and local imbalance of qi and blood function.The treatment emphasizes a holistic approach,advocating the use of spine-balancing therapy,including the comprehensive therapy of highweight offset traction method,medication treatment based on syndrome differentiation of Pingle bonesetting,spinal holistic balance technique,and functional exercise.In the acute stage,the high-weight offset traction method,treatment based on syndrome differentiation of Pingle bone-setting,and spinal holistic balance technique can be used to improve the cervical spine structure,relieve nerve compression and stimulation,and restore local structural stability.In the later stages of treatment,patients are advised to wear a neck brace and persist in personalized functional exercises to restore the balance of spinal sinew and bone structure and the local balance of blood and qi function.